Silver Cross Hospital & Medical Centers

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

1706432 Issued in IL

Legal business name

SILVER CROSS HOSPITAL & MEDICAL CENTERS

Practice address

1051 Essington Rd
Joliet, IL 60435-2801

Phone

(815) 740-7139

Fax

(815) 740-4954

NPI assigned

Mar 23, 2007

Last updated

Apr 11, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Lee Mull

Title

Director of Patient Accounts

Phone

(815) 300-7139

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1982721353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519509",
            "telephone_number": "815-300-7139",
            "fax_number": "815-300-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352801",
            "telephone_number": "815-740-7139",
            "fax_number": "815-740-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CROSS HOSPITAL & MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "815-300-7139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IL",
            "license": "1706432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasir A Siddiqui, M.D.
• Zenabu Sidiki, MD
• John Sifuentes, M.D.
• Paramjit Sikand, M.D.
• Margaret Ann Silvas
• Silver Cross Managed Care Organization
• Silver Cross Medical Associates, PC
• Ebonie C Simmons
• Michelle Marie Simmons
• Christina Marie Simon, P.T.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Joliet, IL
• Providers in Joliet, IL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.